Individual
KATELYN ANN IACOCCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1501 N CEDAR CREST BLVD, 110, ALLENTOWN, PA 18104-2309
(610) 821-2828
(610) 821-7915
Mailing address
1501 N CEDAR CREST BLVD, 110, ALLENTOWN, PA 18104-2309
(610) 821-2828
(610) 821-7915
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TMA052841
PA
Other
Enumeration date
09/17/2013
Last updated
12/02/2015
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